Sorry I have not posted in while. Truth of matter is, there has been nothing new to post since I've literally spent 2 months just waiting to get a new appointment.
I now have a new appointment finally for April 1st where I will finally get to spend an hour with both the dentist specialist and the prosthetic specialist to continue work on rebuilding bite and getting it right. It's been a long wait trying to get these two available at same time and there are a lack of other specialists in area being as rural as I am. Hopefully now, we can finally iron out the last details of remapping my mouth and getting everything just right so we can proceed to perm solutions down the line. I suspect it'll be something like this
1st: Spend an hour remapping and test fittings and such on April 1st 2nd: Some later appointment to go in to pickup a remade temp denture/plate to test these adjustments. 3rd: another appointment some 1-2 weeks after previous to give feedback on if there are still issues (overbite, underbite, bad midline, etc).
If everything is good at that point, would probably proceed to implants once an accurate bite is established. If all is not good, probably repeat above process for a 3rd time (cause this is 2nd time already, first time the temp plate had an overbite and major fit issues)
As I said previously, a LOT of this is do to not seeing specialist first, and getting a lot of teeth pulled BEFORE establishing an accurate imaging of my bite with natural teeth. if you ever need to get teeth pulled and plan to have implants or even just dentures, learn from my mistakes and SEE the specialist making them first, because you can save a LOT of time and heartache and money by having real teeth for them to model everything off of. They can replicate that easily. They can't replicate your bite if you show up with no teeth without tons of guessing and repeated trial and error.
----------------------Skip catchup if you've followed along until now----------------------
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I figure now is a good of time as any to post a full catchup so below I summarize last few months for those reading for first time.
For a good while, I was working on DBM for very little. Too little to afford proper health care or dental care. I knew I had untreated infections but there wasn't much I could do about them. As is, I was already borrowing money from one card to pay another type deal, amassing debt just trying to keep a roof and food for myself and mother.
I hit a breaking point about 6 and a half months ago and original status update/rant post went up. That post was never about trying to get money but to simply explain my situation and that there may be some changes to DBM. However, the community, in a very surprising manor, rallied up to get me support I needed to not only stress less about work on DBM but to even finally take care of my ignored health/dental issues.
I was so excited to finally take care of health that I literally just went to first oral surgeon qualified to extract infected teeth. About 2 weeks later, I was in there for extractions. What I found out at time though was it was more than just 3 I knew about that needed to come out. that he actually saw infection in about 12 of them, but recommended I pull at least 14 because the 2 next to infection had some damage as well. Then he got to talking about condition of other teeth and talked about how we could do a lot of expensive work to preserve them, but at end of day it was probably better and cheaper long term to just remove all of them (yes all 32) and getting a full implant/reconstruction option. The other teeth in mouth were infection free but not in great shape either do to my depression and sort of giving up on oral care when first issues came up few years ago. I was all about hearing options to save money so I was like "sure, remove everything, I have money now and won't later so if I can get stuff done now and save money, best option!" So on that day, all 32 teeth were pulled, for the low low price of $10,000 (On plus, the dental insurance I had literally picked up before going, while they didn't really pay much, they apparently negotiated that he was way out of fucking line and owed me a check for 4,500. So after some reimbursement, I was only out 5,500).
Needless to say, that wasn't a pleasant experience. After about 2 weeks of healing I go back and am like "ok what's next? when do we do implants" and he's like "oh I don't do that, you need to find someone else who specializes in that". Shocked about this, I actually go home and hit up internet. I actually look pretty hard to find that almost NO ONE had qualifications I needed except for literally one person within 2 hour search radius. I setup that appointment to see him and went from there.
What I learned when I saw specalist was utterly horrifying. First thing I'm told, I never should have had any teeth pulled until I had seen him (or another implant specialist) first because they needed my actual teeth to model my prosthetics off of, so they could get accurate information to replicate a bite that actually works well. not too big or small, comes together just right, etc. The second major screwup was that after all the extractions first dentist just sowed me up without doing any grafting. Some of extractions removing a LOT of bone and leaving little to work with for actual implant placement. the proper procedure would have been to graft the sockets at same time as extraction to promote far more rapid and full healing of bone to support implants. Without grafting, it's not a sure thing the sockets will fill fully with good bone either. I was actually told there was a chance even after waiting a few months I'd still not have enough recovered bone and would still need an ADDITIONAL surgery to add grafting. We'd simply have to wait and see.
Not much could be done to fix those screwups at this point. This specialist said he was still happy to work with me but that it'd be a much more painful process of trial and error because before we can do anything we need to recreate my bite from nothing. This meant creating a temp set of dentures that are more or less guesswork to try. However, we couldn't even do that until I had a few more weeks of healing from the extractions. I needed gums strong enough to support denture trial and error and mine were a real mess with a much longer healing time.
He saw me several times during my healing and we had to file down bone spurs MANY times during this time and of course took imprints off gums for the dentures that were sent to lab. It took like 2 months to get anything back from lab too. Lets talk about that a bit too. I'm very rural, there is really a lack of a lot of doctor or dentist specialist options, and only so many labs and techs. Appointments here always take forever to get and lab turn around time is even longer. There are too many patients and not enough doctors and techs basically. If I could win lottery, I'd move myself and mother the hell out of here. Sadly, we are stuck here.
So anyways, I finally go in excited to finally pick up these temp dentures at about 3 and a half months post extraction at this point. Put them in and immediately notice that they have a pretty substantial overbite. Furthermore, they are REALLY lose and took a metric fuckton of glue to get to hold. The second issue likely being that the gum casts were taken multiple weeks prior while I was still healing in addition to also having several bone spurs grow and get filed down in that period too. basically bone/gums in my mouth were constantly changing so the first cast we did was too inaccurate by time dentures came in.
Needless to say, he said take them home and still give them a try in for 2 weeks. I did try them, for about 3 days. They'd only stay in about 30 to 45 minute before the glue would start to fail do to poor fit. and I'm still talking a metric fuckton of glue too. I used half of a tube at one point and still couldn't get them to stay in for even an hour. On top of that. do to overbite and even height feeling too great, I couldn't keep my mouth closed, couldn't actually heat or drink or even talk with them in. So by day 3 I cleaned them real good and put them in a bag. I wasn't going to poison myself with zinc when you're not supposed to need/use that much glue for dentures that were clearly not fitting/working for me.
When I went back after 2 weeks, I explained all this and he agreed with me. They clearly didn't fit and needed to be remade. That's when he told me that he wanted a sit in appointment with lab tech and himself for a good hour to do as much adjusting and fine tuning as possible. This was 4 month mark at this point since extractions. It literally took 2 months to finally get that appointment, for April 1st.
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So, that april 1st appointment didn't happened. The assistant that was setting it all up was out today and when I called ahead of time to confirm, the ones there knew nothing about me. They then told me they'd call me back when they knew more and when the Lab tech I needed to see comes in. They did call back at some point to tell me tech is coming in later than they thought and still don't have an appointment for me and would call back again if they can get me in. They never did.
This is a tech that I literally spent last 2 and a half months waiting to see to help rework dentures in person to try and rebuild them to actually fit and bite correctly, and it didn't even happen. what I've learned is this one tech bounces between atlanta and savannah georgia and everywhere in between. Getting time with him is quite difficult.
I'm effectively back on a wait list for who knows how long til he's out again. EDIT: they got me a new opening with him Tuesday, April 9th. We'll see how that goes.
Meanwhile, my 6 month anniversary of having no teeth is on the April 5th and I'm beginning to stress about pushing deadlines for getting implants with healthy bone before I start to need additional medical procedures like a sinus lift and additional grafting to replace shapeshifting/bone loss. You see, when you don't have upper teeth below your sinus cavity, over a period of time the sinus cavity begins to drop. if this drop has happened they actually need to perform a sinus lift to move it back up, if you get implants. You also lose bone every month in your jaw that you do not massage this bone with teeth (or implant) through bone stimulation (chewing). A lot of this reabsorption occurs within first year. Every month could count (everyone is different, but a consensus of all implant specialists is the earlier you get implants done, the better).
So why can't we just do the implants now? Since we're rebuilding my teeth from scratch, no model what so ever, we need to finish rebuilding it and getting it correct before we start drilling and putting screws in.
So here I am, having made no progress 2 and a half months, and I'm feeling very discouraged and dismayed by whole thing. I realize a lot of this mess is from seeing an inexperienced dentist first and not a specialist who could have prevented much of this hardship, combined with being too rural and having too few specialists to work with that are so overbooked and hard to see. I do place most of blame on self for not doing enough initial research and not knowing better. It's been one of my hardest life lessons to date.
Saw the lab tech and dental specialist April 9th and we went over all the issues with temp dentures and took fresh imprints as well as tons of imaging with current misfitting plates for tech to take back and do adjustments off of. The next appointment for tryin number 3 is May 2nd.
As for DBM update. Some classic prep continues as well as prep for the Crucible opening soon. expecting next week to be a very busy week, with focus on crucible coming first and when that's in a good place proceeding immediately to 8.2 ptr work.
I intend to stream more mod work soon as I want to try and up my engagement with community as well as hit that twitch grind to get more emote slots available for the DBM subs that sub through twitch, since they get less discord perks do to poorer integration.
Had that tryin on may 2nd. It was actually much closer. Actual progress, but not quite right still. They scheduled another tryin for next week (although haven't given an exact date yet).
DBM side of things, work continues on 8.2 stuff. 8.1.5 and crucible should finally be setting down. Work now goes into dungeon and raid coming in 8.2. the dungeon is already completely pre coded but still needs actual testing and logging and updating with real data. Raid work has begun with one boss pre coded already. I've begun doing some of this on twitch to increase engagement, as well as celebrate another way users can help support DBM if they do not want to use patreon.
That last dental tryin ended up being 3 weeks later not 1. So it was actually last week but forgot to post.
Further along, not quite right, so awaiting next try in date.
DBM progress with both 8.2 and Classic continue to proceed. I'd say 6/8 boss mods are in a very good position for launch, with only azshara and Zaqul needing more work since no one really saw the complete fight for either boss.
As for DBM support, it continues to decline, but still enough for me as solo developer. Any options of actually bringing in help are off the table, but I projected that months ago, which is why I never brought anyone on to begin with (would have been silly to bring someone on full time and lay them off 2-3 months later). Instead, I just commissioned a few short term tasks as needed. When hype dies down, so too, does the interest. But myself, I'm very stable for now. I'll continue to monitor though. I'm hoping at some point it levels off. I'm certainly in no position to be asking for anything. The goals will always be clearly visible on patreon, and the word about supporting DBM was spread. Now, I take whatever support people feel the project deserves. No more and no less :)
I continue to work hard to produce best possible mods for both Retail and Classic, as well as continue to look into ways to expand my outreach to all of you, such as my efforts to stream some of my work from time to time. Maybe one day, I will have good enough internet to actually stream more than just boring coding streams but actually engaging content like ptr raid testing and other stuff.
Not much to update. I continue to work with Dentist to get teeth/bite remapped but it's still a very slow process since there is literally a 3 week wait after every single adjustment. Living in country where everything has to be sent off is severely debilitating to process but things are still moving. It sounds like I might finally have an actually wearable plate in probably a couple months. Then after a month they want me to wear it to get a few more adjustments, be able to proceed to permanent implant solution. I'll just have to see how things go though. I've been eating soft foods only for 8 and a half months, what's a little longer :)
On the DBM front, Classic support at this point is just waiting on actual logs/data points for dungeons, as well as wowhead database updates (which means you can help dbm by running wowhead client for classic beta and helping build up their data).
As for 8.2 support on retail. That's about as good as it can be based on raid testing so far. 6/8 fights are pretty well complete but Harbringer and azshara are both incomplete do to fact no one has gotten far enough in either fight during testing to actually get all the data from them yet. That's out of my hands though. All I can do is wait on that front. This may be a situation where these mods will just have to ship incomplete on day 1 of raid and be fixed up as players get further on these fights than they did during testing.
As for future. It's going to continute being a juggle between retail and classic, but I'm doing as much as I can to simplify process as much as possible. I never did get to bring on a 2nd dev full time dev for this do to the rate of decline in patreon support, which never left me in a position I'd be comfortable enough bringing more paid help on, but I was able to get some volenteer help that's been invaluable in managing everything. The growth was more than I ever expected or could ask for, but the rate of decline has also been very rapid. Most of that support was short term for my health, which thankfully is now being taken care of, but the amount of LONG term support/investment into DBMs future was much smaller. I project even further decline before classic even ships. As such, I'll just do best I can with time management playing retail and classic at same time to deliver the best experience to both. This means I'll continue to be unable to return to any actual progression raiding myself. I'll need that extra time to to maintain "good enough" characters in both versions of game and hoping for groups that are willing to take me on a heroic run in retail or raid runs in classic even if I don't have time to to be committed full time raider in either game.
Basically between coding, and having to constantly work on two mains, I expect both of my characters will only be mediocre. I can do mechanics, I just can't afford the time to grind AP, farm dungeons, spend several nights a week wiping to progression, etc. I just need to make my 2 characters good enough to tag along and hope that people let me tag along once in a while. I don't need gear or mounts or anything. Just be invited to be there to collect data/test things. So I hope community can help with this with retail and classic.
if not though, I'll make do (I always do). I can still make mods as fast as logs appear on WarcraftLogs. As long as people can continue to make logs, I can make mods. If people send transcriptor logs, even better. Between those logs and plenty of twitch streams and discord feedback I'll still make great mods even for mythic. You can expect mods to continue to be good quality (BoD and crucible mods were done entirely from bench after all, I couldn't even find a group willing to bring me to crucible and still made good mods for it).
Still nothing to report on dental stuff. I've now been without teeth for 9 months now and actually noticing the jaw reshaping as a result of not having implants I should have had at least 3 months ago (if teeth are not replaced with implants within a decent time frame to keep jaw bone stimulated, the jaw senses there is nothing there and begins a process called reabsorption, where the jaw starts to actually shrink since body decides the bone is no longer needed for anything). Fortunately facial hair covers that up pretty well. It's a real shame being rural and stuck with whatever I can get around here. Having doctors either under qualified to do it or ones that are qualified are hard to see often enough. I'm annoyed by this, but still better than where I was 9 months ago. Aesthetically displeasing is better than actually being unhealthy and in pain all the time. Whatever happens, I just take as the fate of the universe at this point.
As for DBM, 8.2 launched and DBM was the best mod for eternal place week one, especially for azshara. Alpha updates have been pretty regular too to refine mods even more and continue adding features and bug fixes.
Had an appointment on July 23rd, got the final adjustments to temp dentures completed. They finally feel/looked right so they were sent for final processing. He promised this time he'd try to get me in sooner than 1 month. Well, that didn't happen. I didn't get back in there until August 20th. When I got in, I found out there was a mistake at lab and instead of getting final processing by lab, they were sent back to dentist with nothing done. So I wanted another month for NOTHING.
As it stands, it's been 9 and a half months since I had teeth pulled, and i still don't have any new teeth in mouth.
On DBM front. Lots of work continues. Still doing some updates to live eternal palace, while also completely updated firelands mods for timewalking prep for upcoming retail content, while also having to redo EVERY MOD I made for classic wow because blizzard decided communicating with addon authors isn't worth their time and decided to change how combat log works in classic wow without giving any heads up. This forced me to have to redo everything in a rush to ensure the mods I had already completed still worked for classic launch. It also meant I had to sacrifice completing additional dungeon mods for launch because of time I lost with all the reworks.
TL/DR, it's been hella crazy busy on mod front and stressful on dental front do to a dentist who, although very qualified, is overbooked into oblivion to point that getting anything done takes entirely too long.
*in Tidus voice* "This is my story" Recap/history (skip first spoiler if you've followed thread for last year)
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To start, I'm going to go through some history. I've never made much money, and could never afford decent health or dental insurance. So naturally, I never really went for checkups. I never had enough money or insurance.
I worked various lower income jobs and didn't always have best living situations. I spent years crashing in car or on couches. I spent years making almost nothing or even being out of work. In those years, I'll be straight honest that personal dental care was also crap. Eating poorly, not brushing. Add in sinus issues I've had since 17 that cause me to do most of my breathing through my mouth, especially while sleeping. Any dental expert will tell you that this leads to dry mouth and increase in bacterial activity in mouth. This is especially true when sleeping, when you aren't able to keep mouth wet and rinsed with fluids, etc. So with this combination of accelerated conditions for tooth decay (although I didn't know this at the time).
Eventually, after living like crap for a few years (17-21), I moved back home at age of 21 with stepfather and mother and immediately got a better job in security. Some time later, while working this security job (i'd say around age 25), I had my first severe toothache. This is when I finally saw my first dentist in probably a decade. I found out I had many cavities that needed crowns and it would cost many thousands. This is when I first learned of the damage my earlier years had wrought. I may have been working and making a little bit more, but this was still well beyond me. So I walked out. That dental work was never done. All I left there with that day was antibiotics for infection, which did resolve the dental pain. Time wise, I even recall that this was during BC, around patch 2.3.
After this, I had planned to save up and try to get back there when I could, but I never really managed to do so. Not long later, I got laid off because the security company I was working for was phasing out civilians and trying to only retain active or retired military members or defendants. The new Chief of security was a real hard ass retired colonel that didn't believe civilians with no military experience belonged securing the gates of a military base. I recall this happening shortly after wrath of the lich king launch.
If that wasn't enough, shortly after I lost my armed security job, my stepfather passed away. Then, not long later, even my mother was laid off from same security job for same reason. We both worked there together for almost 5 years, and she was there for a few months longer. Sadly, eventually the hard ass colonel got rid of her too. So all within span of like a year, we we went from a household income of 3, to 0. We only got by at all because of decent life insurance. This isn't by any means meant to sound like a pity party but to put into scope that the poor accessibility of affordable health and dental care makes it so that, in our country, people with health issues are often forced to put them off/ignore them for long periods of time, because shit happens. Health costs create a huge barrier that is a real problem that needs to be understood. Systems in place that try to help with that barrier often leave a very large middle area. I spent most of my life in that area. Not poor enough for aid, not wealthy enough to afford anything I needed.
During all of this, ever since that first horrifying dental visit, I was already trying to be more conscious about dental hygiene. Being back home and not on someones couch or in my car, I could actually try to do a better job with oral care. However, when I was brushing, all I noticed was gums that would bleed and unprotected cavities that'd crack more when I brushed them. It felt like I was trying to patch a hole in a sinking ship with duct tape and actually making it sink faster. So instead of brushing, I tried to find a better way to keep my messed up teeth clean. I did best I could keeping food/etc out of them and then instead of brushing I'd use a clean rag/shirt to try to keep gums and teeth free of plaque and at least somewhat cleaner, without causing the bleeding and cracking. This actually helped somewhat. In fact, the gums at the very least started looking better and that original infection didn't return, at least for a while.
However, nothing really changed for the teeth. I still could not afford the work, which I knew was only growing more and more costly. I certainly couldn't use life insurance money for that, which two jobless adults were living off of while I struggled to find work and mother at this point was working on getting social security, because she was in no position to really find another job. She was only able to do the security as long as she did because she spent most of time sitting in a shack guarding an ammunition supply point in the woods (it's where security company stuck the older guards, to help them out).
During my period of job searching is when I actually somehow ended up taking over DBM. I only worked on it as a hobby during early wrath and not long later I was doing all the work by ICC for making new mods. I had the time, while looking for work, after all. Finding work in bumfuck no where rural Georgia is not easy. I eventually got back into working security at a tuna factory, during cataclysm (I basically spent the entirety of wrath out of work, working on DBM for no money as I first learned coding). My mother got on social security and with it, decent medical for herself (which thankfully as helped us a lot over the years, at least someones medical issues were finally being taken care of).
My security job at tuna factory paid a hell of a lot less than old armed security so obviously my dental work was STILL on hold. I do recall that at this security job was first time one of my teeth actually cracked and fell out. This was probably early 2012. it was from then on I was conscious about smiling and never took a photo again that bared teeth. I was still avoiding infections and things getting worse though with the rag wiping though, the only tooth that broke was one of the ones that had been shot that I didn't crown, after all. I was still under my belief I still had time to try and get money to still fix/save most of my teeth one day, so long as I bought time right? At least, this is rational I had to keep telling myself because I couldn't afford proper care.
Summer 2012 is when a big change happened for my work. Paul, the original creator of DBM reached out to me to tell me a gaming company had reached out to him to buy DBM and pay us to work on the mod. Now of course, he knew that I was one doing DBM at this point and had been from 2008 to 2012 at this point, so of course this contract had to include me. I of course accepted very quickly. of course, the contract was only for 1000 a month, but at the time I thought "free money for something I'm already doing anyways, hell yeah".
Of course, once I was in the contract, the company realized that they actually saw no return on owning an addon (shocking, addon authors don't typically make much or bring in much web traffic to addon authors own sites, when users just download their mods off a client/curse). So the company threw elitist jerks (website) at me too, which is another asset they bought up (again, a poor investment from this company, considering it was already a slowly dying site that WoW meta was growing away from). I was full time at this point and quit security job at tuna factory. But hey they gave me a whopping raise to 1500 a month for the stress. DBM website was merged into EJ forums.
After the 1 year contract ran out, they let Paul/tandanu go, and didn't renew my contract at all. Switched me to month to month. At this point, I ended up spending more time on the site than addon authoring. It didn't help at all that the company had a backend tech that didn't know an ethernet port from a RJ14 phone jack. The site experienced massive down time, once for almost an entire month. Of course it wasn't that guy that got blame for that. Pressure was on me to manage community of that site and try to make it work, while still trying to maintain a big addon like DBM. They eventually did get a guy that knew what he was doing to get site running good again, but damage had been done. What very little that was left of the community had departed. I had to use my OWN money to buy guides from guide authors because short of PAYING people to post on EJ, it wasn't happening naturally anymore. Any remaining support site had, bleed out during that 1 month down time. I remember one month paying 250 for guides out of pocket out of 1500 salary. At some point they raised it again to 1750, i think after I brought up fact that I paid 250 for guides and that number sort of stuck so they bumped me up exactly that much to cover that.
I remember it well, it was 2015, around time witcher 3 came out, that I experienced my 2nd really bad tooth abscess. I remembered from last time antibiotics cleared it right up, but I didn't even have enough money for that at this point. That's when my girlfriend at the time said "did you know you can just order the same antibiotics online from a fish store?". I did research on this and it was quite true. In fact I dug deep into it and saw the pills literally had same pharma labels and everything, often even made out of SAME place ones doctor prescribe. However, the big difference, no doctor visit, no prescription, and medication itself was fraction of cost. Hell, I even read the amazon reviews only to find dozens and dozens of 5 star reviews talking about how it cleared up their strep throat, tooth aches, etc. So naturally I ordered them asap. Sure enough. A week of antibiotics and my abscess was gone (i followed the same dosage that dentist gave me for my first abscess).
Needless to say, in all this craziness with working on DBM, working on a failing website, and clearing my second major abscess with fish antibiotics, I wasn't putting money away for my teeth. On the plus. With my mother retired and becoming more and more disabled, it was nice to be working from home and being able to help her more, as she wasn't getting any younger. Somehow, i managed to stay on board til the very end of that company, in 2016, when they eventually ran out of investors and elitist jerks shut down in . At very least though, they didn't leave me too high and dry, as their last act before disappearing into void, they signed ownership of DBM back over to me. Ultimately, we know how that story went. I created a patreon and the short version of that story has been on patreon ever since.
In 2016, things got worse with my teeth. I managed to abscess like 3x. Every time, antibiotics cleared it up, but it clear the problem was a LOT worse than before. I recall one specifically that happened the week legion expansion launched. I remember running dungeons in so much pain that I had cups of salty ice water on my desk and a spit cup that I was rinsing with every few min for short term relief. Even the most painful abscess is instantly relieved by intense cold, and salt also acts as a minor oral antiseptic. When you're dealing with recurring abscess you learn all the tricks very quickly. From time of abscess clear by antibiotic and recurrence seemed random. Could be 6 months, 3 months, and one of them it was actually 2 weeks (at this point I switched to a different antibiotic because it was a possible sign of antibiotic resistance)
2016 was also first year of patreon. Which shockingly within first month of launching shot up to 1100 within first 48 hours, which exceeded my first month goal of 900 to work full time. Yes I low balled that one but I always wanted to be modest and not seem like a greedy SOB. However, it peaked at about 1300-1350 and stayed there.. for 2 years. Some months as low as 1200 and then after advertising a bit would jump up to 1400 then slowly drop down again. That was always cycle. I had to regularly advertise at least once every 2 months just to break even at 1300. A revolving door of breaking even. Then of course add in fact that on top of my health issues I wasn't solving, the amount of actual work was increasing rapidly. Blizzards content pacing was on rise, more side projects were emerging (timewalking, etc). Raid complexity was getting more intense. Then of course, blizzard continued to increase level of obfuscation they do with combat log. Not necessarily out of hostility to addon authors but do the increasing complexity of their encounter scripts and fact they are sticklers for hiding complex combat scripts from logs. But the fact remained, my job was only getting harder. Then add in fact that game was grindier than ever and trying to full time raid, full time code, test all ptrs etc etc, well that all lead to my infamous status update post in September of 2018 (https://www.deadlybossmods.com/forum/viewtopic.php?f=3&t=405) At the time that I made that post, I never expected the reaction it got. I more or less was just airing my boiling thoughts and stress on a forum I was confident no one actually read. I certainly expected no money from it.
None the less, people wanted to see me finally be victorious over my long standing dental/health issues. I immediately started process to recovery but things did not go as planned (https://www.deadlybossmods.com/forum/viewtopic.php?f=3&t=405&start=10#p1182 ) .
To summarize that post. Situation with teeth was worse than I thought. Jaw was actually fine so was relieved there, but all teeth were toast, not just the recurring infection ones. He recommended i have them all extracted now, vs band-aiding problem by removing infected ones and having to pay extra when I returned later for rest. I agreed with this logic and let him extract all 32 of them at once to "save money". Yeah right. Turned out he charged 10,000 for that. Worse yet, despite discussing before hand that I wanted implants, he didn't do anything right. He removed excess bone from sockets, and performed no socket preservation or bone grafting. Two things you absolutely must do to preserve bone for implants post extractions (especially mass extractions). So needless to say, not only did this doctor rip me off severely, he screwed me over even more severely. Then, told me he doesn't do implants and to find someone else who does.
After that experience, I didn't rush to a new doctor this time. I did extensive research to find someone qualified to do what I needed. I found only one within literally 2 hours surrounding me that had most credentials i could find online. When I went to see him he told me just how badly the first oral surgeon screwed up. That it literally set us months back from doing proper implants. Reason 1, no 3d models were taken of my bite before removing teeth. 2, no bone preservation was done and the amount of usable bone I had left was really bad. So this new doctor needed to do two things. Create my bite from nothing, and wait an extended period of time for my bone to heal to formulate a plan. I asked him at time should we do some bone grafting now, to maximize healing and ensure we don't go further backwards if my bone absorb instead of heals back. He assured me it'd be fine and that kind of aggressive reabsorption is rare. That he saw my CT we took and it was best to wait a few months to just heal since there was still enough to work with, while we work on the temporary dentures/plates and do try-ins til we figure bite out.
Well at first things were moving along nicely and we were working on those plates pretty fast. But it didn't take long for things to slow down to a crawl. I was going from every 1-2 weeks to being lucky to see the doctor once a month. Each try-in barely making progress and sometimes literally waiting a month to go in there to be told plates aren't back yet or a mistake was made at lab. After many months I asked for a second CT because I was concerned about aggressive reabsorption because even between the plate try ins I noticed they were very lose after a few short months when they used to be tight. We took that second CT and again he assured me everything was fine. Said there is no hurry and kept giving me assurances. He always seemed super knowledgable and after all he had a massive list of accreditations and training all around world that even internet could verify. So I kept differing to his wisdom. This sums up that status update post (and all status updates since). Below is the NEW status update)
► Show Spoiler
Ok, it is time for a new post/update. This post is about the travesty of the United States healthcare and dental system and how it's repeatedly kept me from getting help, and then when I finally did have the money to get help (thanks to all of you), I was taken advantage of with dishonesty, price gouging, and low quality of care that resulted in (to no surprise) MUCH higher costs.
Since the last status update of this thread, the appointments continued to make progress at a crawl pace. I literally only got final bite dentures 2 weeks ago. After which, I was like "finally, lets take a final CT and get those implants done". He took that 3rd CT and I went to front desk to make an appointment to review CT and discuss next phase (implants) after 11 months of no teeth in my mouth. They told me earliest opening was 2 weeks later (this week). Of course, when appointment time came (Tuesday, Sept 10th), I call up only to find they forgot to book it (this is second time that's happened btw). Fortunately they were like "come in tomorrow". This was yesterday (Wed. Sept. 11th).
Well here is where things get worse. I went in and he showed me that CT to tell me I had SUPER aggressive reabsorption and amount of bone I have for implants is so bad, I won't even be able to get full implants on top or bottom. They'll have to be short molars on both ends. In addition, my lower ridge bone had become so thin that normal size implants can't even be used and the implant systems we discussed that I wanted are off table, because the only implants that'll work are super thin specialized ones (Narrow Diameter Implants). But wait, there is more. In addition, he revealed my CT showed massive bone damage to sinus cavity caused by 3 very large sinus polyps. That before he could even do top implants, I needed to go to an ENT and get that taken care of. He made it sound pretty serious. I stopped him right there and asked "this is my 3rd CT, didn't you see that on the other 2". That's when he told me he did see/suspect it from earlier CTs, but didn't mention it because it wasn't as clear as it was in 3rd, plus he said hadn't come up with a treatment plan yet. I did not like this answer. In the last 10 months I've been seeing him, he didn't tell me to go to an ENT and take care of this problem that might need taking care of months ago, because something might be there. I waited months at a time for him to work on my temporary dentures, with me sitting around. I could have been doing more, like seeing an ENT much sooner. Then he proceeds to tell me that because of my aggressive absorption we're short on time. That I need to see the ENT like yesterday AND get back to him asap to get these now partial more flimsy thin implants done while I can get anything done at all!
But wait, there is more. The cost for bottom implants were quoted at 31,000 dollars. A quote for top ones wasn't even drawn up yet since it depends on what ENT can do to fix sinus cavity first. I was told that the top implants would be at least as much as bottom ones though. He mentioned there is a good sinus specialist 4 hours away in Atlanta if I want the high end good work that would restore the bone structure damage, but it'll be extremely costly, or I can see local ENT to at very least deal with polyps and he'd work around it (back to part that I'd be missing teeth, on my expensive implants). So yay, now my now partial-implants would cost over 60 grand, not counting for whatever ENT is going to cost, and I have until January at latest to get this all done.
Then he walked out of room and left me with an assistant. I explained displeasure over all this. That everything I tried to avoid, happened anyways. The very situation I wanted to avoid, because of so much wasted time. Time which allowed this level of reabsorption to happen in first place. I even aired my concern about the fact the sinus issue should have been brought up sooner, even if it was only suspected, so it could be dealt with already. Then I brought up concern this all added extra cost, since I went in there with a plan to be done by 6 months BEFORE all these issues happened and that just didn't happen. She bumped the 31,000 down to 25,000 if I pay all cash up front, but would bend no further. Then, when I said I still can't afford it all (lowers, plus ENT, plus uppers), she said 'well you could always borrow the money". Then told me about how much that office cares about my health and doesn't want to see me leave without getting treatment.
Well that's exactly what happened, I left that office with no further plans for treatment and very depressed. I have a semi-loose denture that doesn't stay in without wads of glue that are barely usable, bone that's not only been ruined by one dentist but continued to deteriorate in the care of another because of so much time loss.
So after everything I've been through and all the hope that I got from all of you, this messed up healthcare system let one doctor damage chance of proper care by omitting critical information about their qualifications to cash in on a fool that suddenly had a lot of money, instead of sending me to the right doctor. Followed by another very qualified one who I still respect highly for his wisdom, not take more care to expedite my treatment to keep better treamtent options on table and keep costs down, or at very least bend a lot more on costs for mistakes made by his office or lab that he uses. As i said at beginning of all this, I don't expect to suddenly raise money to pay these doctors, because quite honestly, I don't think i could raise enough if I tried. I feel very let down by the system. So this is a letter to all of you out there, about the united states healthcare system and what it'll do for you, when you need help.
At very least I can say this. my gums are healthy as can be. Ever since removing infection causing bad teeth, and continued oral care, any sign of gum disease is long gone. I have no pain. Don't need antibiotics constantly. I am a little concerned about sinuses, so I guess what money I have left, that isn't going to dental treatment anymore, can go toward seeing an ENT to deal with that. Although I'll probably get nailed with high costs there too. Especially since despite having dental insurance the last 2+ years that barely covers anything, I still have no health insurance because I couldn't justify like 800 a month for mediocre insurance with tons of limitations and high deductibles, because I still reside in that tax bracket of too much (but not enough) for decent affordable insurance (go figure). Oh, and guess when my appointment with ENT is? October 14th. Getting my sinus issue dealt with was time sensitive, and now i'm on a wait list. So that's what is next for me.
All the status updates in this thread have been about keeping you all informed of my progress through this, since original post. I had hoped this status update would be a better one, since we've all been on this journey together and I feel guilty that I haven't got more to show for it all. I'm full of so many second guesses. If I just had done more research before picking dentists. If I had expanded my scope and traveled further, etc etc. Alas, what's done is done.
Now, here is the great news in all this. DBM PVP mods returned and are better than ever. Classic support is going fantastically well. Retail mods still going good. Even some long standing bugs like drop down menus not having scroll bars are finally fixed. DBM is stronger than ever!
SUPER TL/DR of really long post:
I spent years not being able to afford proper health and dental care do to a system that is driven by greedy profit, so my teeth went to crap, contributed to highly by sinus issues I also never got looked at.
I hit a stress boiling point last year and went on a rant about it and my work stress in general when I was doing too much for one person. To my great surprise, a rant I expected almost no one to see, caused you all rise up to help me
Sadly, despite even your help, after 11 months of trying to do everything right, the united states healthcare system won out and defeated me. I ended my immediate health risks and pain (the most important thing), but my happy ending was pulled ever so far away from me. All because of the healthcare system lacking: humanity, integrity, and affordability.
DBM is still doing great. PVP mods even returned! Classic support is going fantastically.
A few people gave feedback that I'm only blaming the dentists and not my own mistakes in last post. I want to take a moment to address that.
I own all my mistakes prior to getting treatment, I even tried covering them in extra history part in spoiler tag. I'm willing to even go back and edit post further if I didn't put enough detail in (ironically I was trying to keep the original post shorter despite how long it ended up being).
I did turn things around. I have been taking much better care of my mouth for a few years now. ANY sign I ever had gum disease is long gone. In fact, even when I went in to have teeth pulled, the teeth were not savable because my failure to get treatment for so long had wrought extensive destruction throughout, but my gums were tough as nails and he actually noticed that.
Post extraction, no teeth in mouth, I continue to clean and treat my gums well every day. I brush my tongue, I brush my roof, and two rinses a day. I've also changed my eating/drinking habits to remove carbonated beverages, any acidic foods, and been medicating before bed to loosen my sinuses to reduce mouth breathing as much as I can so I can avoid dry mouth bacteria breading grounds. Plus, I now keep a bottle of water near bed that I can drink from to re-moisen mouth as often as I wake up in middle of night.
My mistakes are owned, and I'll always own those. Most of the damage came from a period in my life where I was basically homeless and I'm not proud of those years, plus ignoring cavities and issues for over 10 years, even when my care did improve, because I couldn't afford fillings/crowns etc is also not the fault of the doctors I've seen. That's a bigger issue with united states healthcare/insurance system. However, these two doctors don't make that, they just work in it. None of this, is of ANY fault to dentists I've gone and seen nor do I hold any of them responsible. That's all my earlier life poor living and financial issues that have plagued all my life.
However, surely medical professionals withholding stuff is a hard issue? Or charging astronomical costs when other countries charge a FRACTION for same quality work.
I did not expect perfection nor did I expect magic. Just honesty and integrity and I ended up with one dentist who price gouged me 10 grand for extractions, which he didn't even do right (at least for a patient that would be needing implants) because he was under qualified for my case (yet did it anyways instead of being honest). And mind you, these are things the second DENTIST said about him, not me. I didn't even know these things until I was informed by 2nd doctor.
I was completely ignorant when I went to first doctor. I didn't know the difference between a general and a Prosthodontist dentist, and if I had I probably wouldn't be making this post. Trust me, I'll regret that the rest of my life. That is MY patient error. However, it's still within my right to be upset the dentist, who is in field, didn't inform me of this either. I was very clear of my intentions and needs. His intentions were also very clear with that price tag too. In fact, if anything almost this entire post is about one doctor not 2, because all of my issues came from that single appointment. That single mistake. No bone preservation was done, no grafting, no pre extraction bite modeling for the prosthetic conducted before hand. This all cost such a dear amount of time and lost bone, and now, money.
The second doctor, I respect that he educated me greatly, and how very knowledgeable and qualified he is. I also don't put much of blame on him, heck he's one that told me where most of blame is, as I said. The main thing I lost there is just time. Lab he uses sent the wrong denture case once, scheduling lost 2 of my appointments. Even when things weren't errors, I was lucky if they could fit me in once a month (price you pay seeing someone that actually know what they are doing, not enough him to go around!). All these delays that cost many months. He did sincerely apologized for this, and his staff was/is very polite though, but it did still bother me. The other issue was one with ENT, which i still feel like I could have been told about (even if it was only a suspicion) to get ball rolling on that much sooner.
Add that up, that's all a lot of time, and we all know time is the enemy of reabsorption as well. I'm not the reason so much time was lost, but I have to pay the price for it. Smaller and less time tested implants that might very well be inferior, with a chance of a shorter lifespan. Plus the additional time for uppers do to ENT issue, continuing to put risk at reduced options for uppers. Not to mention the potential cost increase too, since I've lose any potential money saving of having upper and lower done at same time and may end up needing more expensive solutions.
I'm not an awful patient. If anything, I clearly put too much faith in one doctor and didn't apply enough pressure to the other. Not saying I should have been more mean, but definitely far more proactive. In my research, and in my engagement and applying pressure to keep things moving quickly.
Trust me, I am not just some finger pointing idiot blaming all of my own mistakes on others. If any details were omitted from earlier entries, it was in attempt to try and be shorter and more to the point. My previous post was me TRYING to be clear and concise with enough history to get gist without being longer than it needed. (Apparently I'm just no good at short posts, case and point).
There are honest mistakes and then there are worse ones.
Anyways, sorry for a another long post. I just hope it clarifies a few things that I apparently failed to address in previous post. I never intend to be anything but honest.